Provider Demographics
NPI:1346322997
Name:HERON RESPIRATORY SERVICES INC
Entity Type:Organization
Organization Name:HERON RESPIRATORY SERVICES INC
Other - Org Name:HERON HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:HERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-259-9700
Mailing Address - Street 1:691 BURMONT RD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026
Mailing Address - Country:US
Mailing Address - Phone:610-259-9700
Mailing Address - Fax:610-259-9835
Practice Address - Street 1:691 BURMONT RD
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026
Practice Address - Country:US
Practice Address - Phone:610-259-9700
Practice Address - Fax:610-259-9835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007707830001Medicaid
PA0194130001Medicare ID - Type Unspecified